Short, Allan Michael
Short, Allan Michael is an individual health care provider with primary practice located at 189 Main Street Suite 2 2Nd Floor, Milford MA 01757. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Short, Allan Michael can be contacted via phone (508) 473-4220.Contact Information
Primary practice address
189 Main Street Suite 2 2Nd Floor
Milford MA 01757
Phone: (508) 473-4220
Fax: (508) 473-1442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10551 | Massachusetts |
Profile Details
| NPI number | 1396810289 |
|---|---|
| LBN Legal business name | Short, Allan Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396810289 | NPPES |
| Massachusetts | Other | X05705 | BLUE CROSS BLUE SHIELD |
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